Foot Expert Comments on Research into Falls in Older Adults

It’s no secret that we’re living longer these days. But a larger population of older adults is bringing elder’s issues under the spotlight, and injury through falls is among the concerns. Mark Lin, a leading sports podiatrist in Sydney recently highlighted research that shows taking care of our feet could make a difference.

“It’s not just the physical improvements,” he says. “Confidence also has a role to play. Fear is a big factor. When we don’t feel confident about our physical performance, it’s like a self-fulfilling prophecy.”

Falls and Foot Treatments

Although most people undergoing podiatry treatments feel confident that it’s working, researchers are more cautious in drawing conclusions: “The burden of proof for researchers is a heavy one. For example, if a study deals with foot exercises and falls, there must be no doubt that foot exercises rather than individual physical differences between subjects are responsible for any differences.” Lin explains.

“But even those who can’t produce evidence that podiatry works to reduce falls can’t produce evidence that it doesn’t. They’re calling for further research.”

However, the British Medical Journal has published a study indicating a “significant” reduction in the incidence of falls in older adults following intervention by podiatrists. The lead author, an NHS researcher, concludes that podiatry is a cost-effective intervention that can reduce the number of NHS patients requiring treatment for falls.

The study involved a multi-faceted approach which included advice on footwear choices, orthotics, foot and ankle exercises, and fall prevention education.

“People may find this confusing,” says Lin, “One researcher says that further study is needed while another says there’s a significant difference – but study design has a lot to do with the conclusions drawn.”

Foot Anomalies and Foot Pain

Foot problems affect one in three people over the age of 65, and once again, Lin has the third-party evidence to prove it. “Foot pain has long been considered a contributing factor when it comes to falls in older people. When your feet hurt, you will favour them, and that means you develop a less steady gait. That, in turn, affects balance – and the logical consequence is that you’re more likely to fall.”

Although Lin is best known for his work as a sports podiatrist, he works with people of all ages and from all walks of life. Foot pain, it seems, is not limited to any specific segment of the population. “I work with kids too,” he explains. “They can have postural and gait problems that need to be corrected before they cause further problems. No matter who you are, if your feet hurt, you have a problem. Sore feet aren’t normal.”

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The information contained in this guide is provided in good faith and is not intended to be nor is it to be used as a substitute for any sort of professional, medical or podiatric advice. An accurate diagnosis can only be made following personal consultation with a podiatrist. Any users should always seek the advice of their podiatrist, or other qualified healthcare providers before commencing any treatment.

The information contained in this article is based on the authors opinion only and is of a general nature which is not indicative of future results or events and does not consider your personal situation or particular needs. Professional advice should always be sought relevant to your circumstances.